Chapter 8. Herbal Therapies and Cannabis
Multiple Choice
Identify the choice that best completes the statement or answers the
question.
1. A good history of herb and supplement use is critical before
prescribing because approximately _____% of patients in the United States
are using herbal products.
1. 10
2. 5
3. 38
4. 70
2. A potential harmful effect on patients who take some herbal
medication is:
1. Constipation
2. Lead poisoning
3. Diarrhea
4. Life-threatening rash
3. A thorough understanding of herbs is critical to patient safety.
An example is the use of cinnamon to treat type II diabetes. It is important
the patient uses Ceylon cinnamon, as the commercially available cassia
cinnamon contains:
1. Coumadin, which may lead to bleeding problems
2. Coumarin, which can cause liver and kidney damage
3. Cinnamic aldehyde, which is toxic to the kidney
4. Cinnamate eugenol, which is toxic to the liver
4. Traditional Chinese medicine utilizes yin (cooling) versus
yang (warming) in assessing and treating disease. Menopause is considered
a time of imbalance, therefore the Chinese herbalist would prescribe:
1. Herbs which are yang in nature
2. Herbs that are yin in nature
,3. Ginger
4. Golden seal
5. According to traditional Chinese medicine, if a person who has a
fever is given a herb that is yang in nature, such as golden seal, the
patient’s illness will:
1. Get worse
2. Get better
3. Not be adequately treated
4. Need additional herbs to treat the yang
6. In Ayurvedic medicine, treatment is based on the patient’s
dominant dosha, which is referred to as the person’s:
1. Vata
2. Pitta
3. Kapha
4. Prakriti
7. Herbs and supplements are regulated by the U.S. Food and Drug
Administration.
1. True
2. False
8. When melatonin is used to induce sleep, the recommendation is
that the patient:
1. Take 10 mg 30 minutes before bed nightly
2. Take 1 to 5 mg 30 minutes before bed nightly
3. Not take melatonin more than three nights a week
4. Combine melatonin with zolpidem (Ambien) for the greatest impact on
sleep
9. Valerian tea causes relaxation and can be used to help a patient fall
asleep. Overdosage of valerian (more than 2.5 gm/dose) may lead to:
1. Cardiac disturbances
,2. Central nervous system depression
3. Respiratory depression
4. Skin rashes
10. The standard dosage of St John’s wort for the treatment of mild
depression is:
1. 300 mg daily
2. 100 mg three times a day
3. 300 mg three times a day
4. 600 mg three times a day
11. Patients need to be instructed regarding the drug interactions
with St John’s wort, including:
1. MAO inhibitors
2. Serotonin reuptake inhibitors
3. Over-the-counter cough and cold medications
4. All of the above
12. Ginseng, which is taken to assist with memory, may potentiate:
1. Aricept
2. Insulin
3. Digoxin
4. Propranolol
13. Licorice root is a common treatment for dyspepsia. Drug
interactions with licorice include:
1. Antihypertensives, diuretics, and digoxin
2. Antidiarrheals, antihistamines, and omeprazole
3. Penicillin antibiotic class and benzodiazepines
4. None of the above
14. Patients should be warned about the overuse of topical
wintergreen oil to treat muscle strains, as overapplication can lead to:
, 1. Respiratory depression
2. Cardiac disturbance
3. Salicylates poisoning
4. Life-threatening rashes
15. The role of the NP in the use of herbal medication is to:
1. Maintain competence in the prescribing of common herbal remedies
2. Recommend common over-the-counter herbs to patients
3. Educate patients and guide them to appropriate sources of care
4. Encourage patients to not use herbal therapy due to the documented
dangers
Chapter 8. Herbal Therapies and Cannabis Answer
Section
MULTIPLE CHOICE
1. ANS: 3
2. ANS: 2
3. ANS: 2
7. ANS: 2
8. ANS: 3
9. ANS: 1
PTS: 1
PTS: 1
PTS: 1
4. ANS: 2
5. ANS: 1
6. ANS: 4
Multiple Choice
Identify the choice that best completes the statement or answers the
question.
1. A good history of herb and supplement use is critical before
prescribing because approximately _____% of patients in the United States
are using herbal products.
1. 10
2. 5
3. 38
4. 70
2. A potential harmful effect on patients who take some herbal
medication is:
1. Constipation
2. Lead poisoning
3. Diarrhea
4. Life-threatening rash
3. A thorough understanding of herbs is critical to patient safety.
An example is the use of cinnamon to treat type II diabetes. It is important
the patient uses Ceylon cinnamon, as the commercially available cassia
cinnamon contains:
1. Coumadin, which may lead to bleeding problems
2. Coumarin, which can cause liver and kidney damage
3. Cinnamic aldehyde, which is toxic to the kidney
4. Cinnamate eugenol, which is toxic to the liver
4. Traditional Chinese medicine utilizes yin (cooling) versus
yang (warming) in assessing and treating disease. Menopause is considered
a time of imbalance, therefore the Chinese herbalist would prescribe:
1. Herbs which are yang in nature
2. Herbs that are yin in nature
,3. Ginger
4. Golden seal
5. According to traditional Chinese medicine, if a person who has a
fever is given a herb that is yang in nature, such as golden seal, the
patient’s illness will:
1. Get worse
2. Get better
3. Not be adequately treated
4. Need additional herbs to treat the yang
6. In Ayurvedic medicine, treatment is based on the patient’s
dominant dosha, which is referred to as the person’s:
1. Vata
2. Pitta
3. Kapha
4. Prakriti
7. Herbs and supplements are regulated by the U.S. Food and Drug
Administration.
1. True
2. False
8. When melatonin is used to induce sleep, the recommendation is
that the patient:
1. Take 10 mg 30 minutes before bed nightly
2. Take 1 to 5 mg 30 minutes before bed nightly
3. Not take melatonin more than three nights a week
4. Combine melatonin with zolpidem (Ambien) for the greatest impact on
sleep
9. Valerian tea causes relaxation and can be used to help a patient fall
asleep. Overdosage of valerian (more than 2.5 gm/dose) may lead to:
1. Cardiac disturbances
,2. Central nervous system depression
3. Respiratory depression
4. Skin rashes
10. The standard dosage of St John’s wort for the treatment of mild
depression is:
1. 300 mg daily
2. 100 mg three times a day
3. 300 mg three times a day
4. 600 mg three times a day
11. Patients need to be instructed regarding the drug interactions
with St John’s wort, including:
1. MAO inhibitors
2. Serotonin reuptake inhibitors
3. Over-the-counter cough and cold medications
4. All of the above
12. Ginseng, which is taken to assist with memory, may potentiate:
1. Aricept
2. Insulin
3. Digoxin
4. Propranolol
13. Licorice root is a common treatment for dyspepsia. Drug
interactions with licorice include:
1. Antihypertensives, diuretics, and digoxin
2. Antidiarrheals, antihistamines, and omeprazole
3. Penicillin antibiotic class and benzodiazepines
4. None of the above
14. Patients should be warned about the overuse of topical
wintergreen oil to treat muscle strains, as overapplication can lead to:
, 1. Respiratory depression
2. Cardiac disturbance
3. Salicylates poisoning
4. Life-threatening rashes
15. The role of the NP in the use of herbal medication is to:
1. Maintain competence in the prescribing of common herbal remedies
2. Recommend common over-the-counter herbs to patients
3. Educate patients and guide them to appropriate sources of care
4. Encourage patients to not use herbal therapy due to the documented
dangers
Chapter 8. Herbal Therapies and Cannabis Answer
Section
MULTIPLE CHOICE
1. ANS: 3
2. ANS: 2
3. ANS: 2
7. ANS: 2
8. ANS: 3
9. ANS: 1
PTS: 1
PTS: 1
PTS: 1
4. ANS: 2
5. ANS: 1
6. ANS: 4
